LogoFresh Jobs Ahead
Wellstar Health System
Wellstar Health System
HealthcareHealthcare Insurance
Wellstar Health System is a large healthcare organization serving patients and communities across Georgia and South Carolina. Founded in 1992, it provides healthcare services while bringing together a broad workforce across clinical, administrative, and operational roles. The organization’s careers focus includes opportunities in healthcare and healthcare insurance, with an emphasis on compassionate patient care, respect, inclusion, and community engagement.
LinkedIn
Company Jobs

Coding Compliance Auditor and Educator (Remote)

Conduct professional fee coding audits for Wellstar Health System, an integrated Georgia healthcare organization, while educating physicians on ICD-10-CM coding and EMR documentation compliance.

USUnited StatesRemoteFull-timeMiddleSeniorEnglish RequiredAuditor

Description

  • Perform independent audits of professional fee coding
  • Examine medical records to confirm clinician-selected codes are supported by documentation
  • Verify coding assignments against federal regulations, official guidelines, organizational policies, and professional standards
  • Develop and present clear, accurate audit results to physicians and charge review personnel
  • Cite authoritative coding and compliance sources in audit reports
  • Meet with providers to explain audit findings and recommend corrective improvements
  • Investigate coding and compliance questions
  • Answer coding inquiries from providers and coding team members
  • Coordinate provider meeting schedules
  • Help develop and maintain coding reference materials and presentation content
  • Train physicians on ICD-10-CM coding and EMR documentation requirements
  • Complete ongoing professional education and keep relevant certifications current
  • Report trends, issues, and support requirements to management
  • Track and document time spent on assigned work

Requirements

  • Associate degree from an accredited college, or equivalent qualifying experience in place of the degree
  • Bachelor’s degree in a healthcare-related discipline from an accredited college is preferred
  • Certified Professional Coder certification is required
  • Certified Coding Specialist certification is required
  • Certified Professional Medical Auditor certification is preferred at hire
  • At least five years of physician-practice auditing or coding compliance experience, or at least seven years of coding or billing experience in a physician or outpatient coding environment
  • Exceptional coding accuracy and attention to detail
  • Ability to explain complex coding and compliance concepts clearly in speech and writing
  • Experience with public speaking, presentations, and educational activities
  • Extensive knowledge of Medicare rules, documentation guidelines, and federal and state requirements for clinical documentation, coding, and reimbursement
  • Ability to learn quickly and independently resolve complex issues
  • Strong time-management abilities
  • Ability to adapt, set priorities, and meet deadlines
  • Proficiency with Microsoft Word, Excel, PowerPoint, and Outlook
  • Ability to protect confidential information
  • Professional appearance and conduct when working with physicians

Benefits

  • Full-time position
  • Day-shift schedule
  • Opportunity to contribute meaningful work
  • Support for a more rewarding life

Related Jobs